KIMLY HICKERSON PHARMACIST
NPI 1699100578
Pharmacist in Cape Girardeau, MO

Active since September 10, 2013
121 S BROADVIEW ST STE 11&12, CAPE GIRARDEAU, MO 63703(573) 803-5500(573) 803-5501 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimly Hickerson Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMLY HICKERSON PHARMACIST (NPI 1699100578) is an individual pharmacist in Cape Girardeau, Missouri, licensed in Missouri (043576) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1699100578
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMLY HICKERSONCredential: PHARMACIST
Location Address121 S BROADVIEW ST STE 11&12Cape Girardeau, MO 63703-5760
Mailing Address121 S Broadview St Ste 11&12Cape Girardeau, MO 63703-5760 · (573) 803-5000 · Fax (573) 803-5501
Fax(573) 803-5501
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
NPI 1699100578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MO · 043576 Licensed in KY · 010303
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
121 S BROADVIEW ST STE 11&12, Cape Girardeau, MO 63703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimly Hickerson's NPI number?

The NPI number for Kimly Hickerson is 1699100578. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Kimly Hickerson located?

Kimly Hickerson practices at 121 S Broadview St Ste 11&12, Cape Girardeau, MO 63703. The listed phone number is (573) 803-5500.

What is Kimly Hickerson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kimly Hickerson was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.